| Alan D Shoopak Dmd Orthodontic Group Ii Llc | |
|
5810 S University Dr Ste 101-102 Davie FL 33328-6107 | |
| (954) 680-2886 | |
| (954) 680-2885 |
| Full Name | Alan D Shoopak Dmd Orthodontic Group Ii Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5810 S University Dr Ste 101-102, Davie, Florida |
| Authorized Official Name and Position | Alan D. Shoopak (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 7275225599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan D Shoopak Dmd Orthodontic Group Ii Llc 6311 4th St N St Petersburg FL 33702-7511 Ph: (727) 522-5599 | Alan D Shoopak Dmd Orthodontic Group Ii Llc 5810 S University Dr Ste 101-102 Davie FL 33328-6107 Ph: (954) 680-2886 |
| NPI Number | 1912234493 |
|---|---|
| Provider Enumeration Date | 11/04/2009 |
| Last Update Date | 10/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912234493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN9319 (Florida) | Primary |
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